EXCLUDEDPROVIDER
Individual Revocation

Mark William Milleville

North Tonawanda, NY 14120

Public HHS-OIG LEIE exclusion record

Mark William Milleville of North Tonawanda, NY is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1972596807 with a primary specialty of Physical Therapist. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Mark William Milleville is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of March 20, 2016.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
North Tonawanda, NY 14120
Exclusion date
March 20, 2016
Exclusion type
Revocation (1128b4)
NPI
1972596807

Record summary

Mark William Milleville appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with North Tonawanda, New York. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is March 20, 2016, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateMarch 20, 2016
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1972596807
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with North Tonawanda, NY 14120. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Physical Therapy.

NPI Registry context

The LEIE record lists NPI 1972596807. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Physical Therapist (225100000X). Registered practice location: North Tonawanda, NY. NPI enumeration date: Aug 25, 2005. NPPES status: Active. The NPI Registry lists credential: PT.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in North Tonawanda, NY

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a North Tonawanda, NY address.

Patricia Marie Roy-petrick Individual Revocation
North Tonawanda, NY · License revocation, suspension, or surrender · Excluded Feb 2024
Anne M Kurzdorfer Individual Felony Fraud
North Tonawanda, NY · Felony conviction relating to health care fraud · Excluded Sep 2022
Janet Lynn Gatley Individual Fraud
North Tonawanda, NY · Conviction relating to fraud · Excluded Apr 2019
Lisa Marie Kabalan Individual Revocation
North Tonawanda, NY · License revocation, suspension, or surrender · Excluded Jul 2015
Dudley E Turecki Individual Revocation
North Tonawanda, NY · License revocation, suspension, or surrender · Excluded Dec 1992
Charles Montana Individual Program Crime
North Tonawanda, NY · Conviction of program-related crimes · Excluded Jul 1986

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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